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APM Performance Pathway (1) Overview In the CY 2021 PFS final rule (85 FR 84859 through 84866), we finalized the APM Performance Pathway (APP) at 414.1367 beginning in CY 2021 performance period/2023 MIPS payment year, which was designed as a reporting and scoring pathway available only to MIPS APM participants in order to provide a predictable and consistent MIPS reporting option to reduce reporting burden for, and encourage continued APM participation, by these clinicians